MRI of Breast Lesions

Werner A. Kaiser1

1 Hospital of the Friedrich‐Schiller‐University, Jena, Germany
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A21.1
DOI:  10.1002/0471142719.mia2101s00
Online Posting Date:  May, 2001
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In Magnetic Resonance Mammography (MRM) high spatial as well as temporal resolution is of utmost importance for differentiating between malignant and benign lesions. Therefore, a so‐called dynamic technique (i.e., the repetitive imaging of the same slices before and in short time intervals after the injection of contrast medium) is essential to detect the differences in initial enhancements between malignant and benign lesions which are reflected by the tumorangiogenetic vascular network of malignant lesions. This unit presents a basic protocol and several alternate protocols for dynamic MRM.

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Table of Contents

  • Basic Protocol 1: Dynamic MR Mammography
  • Alternate Protocol 1: MR Imaging by Contrast‐Enhanced Dynamic 3‐D Technique
  • Alternate Protocol 2: Fat‐Saturated 3‐D Scan: High Spatial Resolution
  • Alternate Protocol 3: Fat‐Saturated 3‐D Scan: Rodeo (Rotating Delivery of Excitation Off‐Resonance)
  • Commentary
  • Figures
  • Tables
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Basic Protocol 1: Dynamic MR Mammography

  • Normal saline (0.9% NaCl), sterile
  • Extravascular contrast agent (e.g., Magnevist, Omniscan, or Prohance)
NOTE: Be sure that technicians and nurses have immediate access to any emergency equipment that may be relevant to a given study, or that may be needed for a particular patient, such as crash carts or oxygen.
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Literature Cited

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Internet Resources
  List of detailed courses in MR Mammography, history of MR Mammography, MRM publications of the author.
  List of possible safe or unsafe materials for a quick overview.
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